Jennica Laine-Formisano PSYD
Jennica Laine-Formisano PSYD is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kingston, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
260 Kings Mall Ct # 331Kingston, NY 12401-1574
Phone: (845) 489-3687
Fax: (845) 332-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1093454159 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennica Laine-Formisano — Owner · (845) 489-3687 |
| NPI enumerated | May 27, 2022 |
| Last updated in NPPES | May 27, 2022 |
| Certification date | May 26, 2022 |
| Mailing address | 260 Kings Mall Ct # 331, Kingston, NY 12401-1574 |
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